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Hospital tables

View the list of participating hospitals for CUA Health.

What's not covered

  • any difference between your doctor's fees and the Medicare schedule/access gap cover agreed fee
  • co-payments applicable to certain prostheses (ie hip and knee joint replacements, artificial heart valves, pacemaker devices and intra-ocular lenses for cataract surgery)
  • any patient contributions for pharmaceutical benefit scheme (PBS) prescriptions - unless receiving product S100 benefits whilst in hospital
  • any items of a personal nature, including TV rental or phone calls where not part of the agreed charges
  • the patient's portion which is applied to any "nursing home-type" patient admission into a public or private hospital. This amount is determined by the federal government
  • cosmetic surgery - benefits are only payable for cosmetic surgery where it is required for a medical purpose and Medicare benefits are payable
  • experimental and some very high cost drugs
  • services not invoiced by the hospital
  • emergency room treatment

Private hospital 100%

What you get at a glance (at participating hospitals):

  • 100% cover for day surgery accommodation
  • 100% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward and intensive care charges
  • 100% cover for approved disposable items used during theatre
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/access gap cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Private hospital 100% less $250 excess

What you get at a glance (at participating hospitals):

  • 100% cover for day surgery accommodation
  • 100% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward, intensive care charges and approved disposable items used during theatre once the agreed excess has been paid
  • the excess that applies is $250.00 per member/spouse for each period of hospitalization involving overnight accommodation. The number of times the excess can apply in a calendar year is once for a single/single parent membership and two times for a family membership
  • the excess is not payable by dependants under a family membership
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/Access Gap Cover agreed fee for doctors'/specialists’ services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Private hospital 90%

What you get at a glance (at participating hospitals):

  • 90% cover for day surgery accommodation
  • 90% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward and intensive care charges and approved disposable items used during theatre
  • for the above benefits, your out-of-pocket expenses are capped at a maximum of $500 per person in a calendar year
  • public hospitals - full coverage with no out of pocket expenses for accommodation, operating theatre, labour ward and intensive care charges
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/Access Gap Cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Private hospital 85%

What you get at a glance (at participating hospitals):

  • 85% cover for day surgery accommodation
  • 85% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward, intensive care charges and approved disposable items used during theatre
  • for the above benefits, your out-of-pocket expenses are capped at a maximum of $750 per person in a calendar year
  • public hospitals - full coverage with no out of pocket expenses for accommodation, operating theatre, labour ward and intensive care charges
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/access gap cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Private hospital 75%

What you get at a glance (at participating hospitals):

  • 75% cover for day surgery accommodation
  • 75% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward, intensive care charges and approved disposable items used during theatre
  • for the above benefits, your out-of-pocket expenses are capped at a maximum of $1000 per person in a calendar year
  • public hospitals - full coverage with no out of pocket expenses for accommodation, operating theatre, labour ward and intensive care charges
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/access gap cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Private hospital 65%

What you get at a glance (at participating hospitals):

  • 65% cover for day surgery accommodation
  • 65% cover for standard single or shared hospital overnight accommodation, operating theatre fees, labour ward, intensive care charges and approved disposable items used during theatre
  • for the above benefits, your out-of-pocket expenses are capped at a maximum of $1000 per person in a calendar year
  • public hospitals - full coverage with no out of pocket expenses for accommodation, operating theatre, labour ward and intensive care charges
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/access gap cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

Public hospital 100%

What you get at a glance (at participating hospitals):

  • public hospitals - full coverage with no out of pocket expenses for accommodation, operating theatre, labour ward and intensive care charges
  • private hospitals - up to 50% of the cost of standard single or shared accommodation. No benefits are payable for operating theatre, labour ward, intensive care and approved disposable items used during theatre - you will face considerable out-of-pocket costs if you were to be treated in a private hospital
  • the choice of your own doctor and/or specialist
  • the difference between the Medicare benefit and the Medicare schedule/access gap cover agreed fee for doctors'/specialists' services whilst in hospital
  • approved prostheses benefits (ie: artificial hips, knees, etc.) as per government listing - check with your doctor/CUA Health to determine if a co-payment applies

 

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